MEDICARE: DR. FRANCINE A MANUEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	018259	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080056425	OTHER	LA	PALMETTO GBA - RAILROAD M
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073510897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCINE A MANUEL M.D.

Provider Business Mailing Address
First Line	:	4809 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 200
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6917
Country	:	US
Telephone Number	:	337-988-8810
Fax Number	:	337-988-8844

Provider Business Practice Location Address
First Line	:	4809 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 200
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6917
Country	:	US
Telephone Number	:	337-988-8810
Fax Number	:	337-988-8844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/14/2012

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Directions to “ DR. FRANCINE A MANUEL M.D.” Practice Location

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